ECKENRODE v.
LIFE OF AMERICA
470 F.2d 1 (7th Cir. 1972)
KILEY,
CIRCUIT JUDGE.
Plaintiff , a resident of Pennsylvania, filed
this three count diversity complaint to recover damages for severe emotional
injury suffered as a result of the deliberate refusal of Life of America
Insurance Company (Insurer), of Chicago, to pay her the proceeds of insurer's
policy covering the life of her husband. The district court dismissed the suit.
Plaintiff has appealed. We reverse.
Taking the allegations,
properly pleaded in Counts 11 and III, as true, the following facts are stated:
Defendant's life insurance policy covering plain
INSURANCE
CO. tiff's husband issued September 22,
1967. Under the policy Insurer agreed to pay plaintiff $5,000 immediately upon
due proof of death from "accidental
causes."
On December 17, 1967, insured was an accidental victim of a homicide. Plaintiff
met all conditions of the policy and repeatedly demanded payment, but Insurer
refused to pay. Decedent left plaintiff with several
children,
but no property of value. She had no money, none even for the funeral expenses.
Denied payment by Insurer, she was required to borrow money to support her
family, while her financial condition worsened. The family was required to live
with, and accept charity from, relatives.
Further: . . . Insurer, knowing
full well that plaintiff needed the proceeds of the policy to provide
necessaries for her children, applied "economic
coercion"
in refusing to make payment on the policy, and in “inviting"
plaintiff to "compromise" her claim by implying it (Insurer) had a
valid defense to the claim.
The issue before us with
respect to Counts 11 and III is whether plaintiff-- beneficiary of her
husband's life insurance policy-may on the foregoing "facts"
recover
damages for severe mental distress allegedly suffered as a result of Insurer's
conduct. Illinois law controls our decision, and, in anticipation that the
Illinois Supreme Court would hold as we do, we decide the issue in favor of
plaintiff.
We have no doubt, in view of
Knierim v. Izzo, 174 N.E.2d 157 (1961), that the Illinois Supreme Court would
sustain plaintiffs complaint against Insurer's motion to dismiss.
In Knierim, plaintiff filed a
wrongful death action alleging, inter alia, that defendant Izzo threatened her
with the murder of her husband, carried out the threat, and thereby proximately
caused her severe emotional distress. The trial court dismissed her complaint,
but the Illinois Supreme Court reversed and held that plaintiff had stated a
cause of action for an intentional causing of severe emotional distress by
Izzo's "outrageous conduct."
The court recognized the "new
tort" of intentional infliction of severe emotional distress, following
similar recognition by an "increasing number of courts," and cited
several state decisions. The court rejected reasons given by other courts not
recognizing the "new tort." As to the reason that mental disturbance
is incapable of financial measurement, the court pointed out that "pain
and suffering" and "mental suffering" are elements of damage,
respectively, in personal injury and malicious prosecution cases.
As to the reason that mental
consequences are too evanescent for the law to deal with, the court noted that
psychosomatic medicine had learned much' in the past "thirty years"
about the bodily effects of man's emotions, and that symptoms produced by
"stronger emotions" are now visible to the professional eye. As to
the reason that recognizing the "new tort" would lead
To
frivolous claims, the court observed that triers of fact from their own
experiences would be able to draw a line between "slight hurts" and
"Outrageous conduct. "
In Knierim the court, inter
alia, relied upon State Rubbish Collectors Association v. Siliznoff, 38 Cal.2d
330, 240 P.2d 282 (1952), and Restatement,
Torts
S 46 (1948 Supp.). In Siliznoff the California Supreme Court, in an opinion by
justice Roger Traynor, recognized the "new tort" for the first time
and held that Siliznoff could recover from the cross-defendant Rubbish
Collectors Association for mental distress caused by the Association's severe
threats to-beat him up, destroy his truck and put him out of business unless
Siliznoff offered to pay over certain proceeds to the Association. . . .
We think that the California court
in Fletcher, set out correctly the elements of a prima facie case for the tort
of intentional infliction of severe emotional distress":
(1)
Outrageous conduct by the defendant;
(2)
The defendant's intention of causing, or reckless disregard of the probability
of causing emotional distress;
(3)
The plaintiff's suffering severe or extreme emotional distress; and
(4)
Actual and proximate causation of the emotional distress by the defendant's
outrageous conduct.
Here Insurer's alleged bad
faith refusal to make payment on the policy, coupled with its deliberate use of
"economic coercion" (i.e., by delaying and refusing payment it
increased plaintiff's financial distress thereby coercing her to compromise and
settle) to force a settlement, clearly rises to the level of "outrageous
conduct" to a person of "ordinary sensibilities."
Furthermore, it is common knowledge
that one of the most frequent considerations in procuring life insurance is to'
ensure the continued economic and mental welfare of the beneficiaries upon the
death of the insured. The very risks insured against presuppose that upon the
death of the insured the beneficiary might be in difficult circumstances and
thus particularly susceptible and vulnerable to high pressure tactics by an
economically powerful entity. In the case before us Insurer's alleged high
pressure methods (economic coercion) were aimed at the very thing insured
against, and we think that the insurance company was on notice that plaintiff
would be particularly vulnerable to mental distress by reason of her financial
plight.
Reversed.